Organization Active NPI

South Florida Urology Institute LLC

  • Urology Physician
  • Jupiter, FL
National Provider Identifier
1578031985
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SOUTH FLORIDA UROLOGY INSTITUTE LLC
Practice address
210 Jupiter Lakes Blvd Ste 4106a
Jupiter, FL 33458-7190
Phone
(561) 295-4446
Fax
(561) 295-1429
NPI assigned
Nov 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frank A Celigoj, M.D.NPI 1679744205
Title
Owner
Phone
(561) 295-4446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

210 Jupiter Lakes Blvd Ste 4106a
Jupiter, FL 33458-7190

Mailing address

210 Jupiter Lakes Blvd Ste 4106a
Jupiter, FL 33458-7190
Phone (561) 295-4446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190311001507 FL Part B Supplier - Clinic/Group Practice 6204175110 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2160884South Florida Urology Institute LLC210 Jupiter Lakes Blvd Ste 4106a, Jupiter, FL 33458Certificate of waiverJan 21, 2027

National Provider Directory

National Provider Directory

Locations

210 Jupiter Lakes Blvd
Ste 4106A
Jupiter, FL 33458
Phone (561) 295-4446

10 SE Central Pkwy
Ste 222
Stuart, FL 34994
Phone (561) 263-5560

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1578031985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD STE 4106A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587190",
            "telephone_number": "561-295-4446",
            "fax_number": "561-295-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD STE 4106A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587190",
            "telephone_number": "561-295-4446",
            "fax_number": "561-295-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA UROLOGY INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "CELIGOJ",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-295-4446",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.